Sickle Cell

In Alabama, sickle screening is done at birth.  Patients of African or Mediterranean extraction who are over 6 month old have results at the State lab; results are kept 10 years.  A reliable history from a parent / guardian, old records, or doctor’s office is sufficient.  Routine screening is not needed unless indicated by history or physical. 

 Hematology consult is required for those known to have hemoglobin disease requiring hydration and/or transfusion (e.g. sickle cell, sickle-C).

Document history relating to type and frequency of crises, and their sequellae.  Document last transfusion, and labs.